Individual
DAISY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15288-40
WI
1835P1200X
Pharmacotherapy Pharmacist
Primary
15288-40
WI
Other
Enumeration date
08/01/2008
Last updated
05/28/2026
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